Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.88 / $295.75 / $5,412.00	Facility		$157.88	$295.75	$5,412.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.71 / $205.77 / $347.23	Professional		$121.71	$205.77	$347.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,735.00 / $2,390.00 / $2,954.00	Facility		$1,735.00	$2,390.00	$2,954.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.32 / $146.19 / $200.51	Professional		$114.32	$146.19	$200.51
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $151.68 / $218.42 / $974.00	Professional		$151.68	$218.42	$974.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.97 / $220.45 / $369.49	Professional		$129.97	$220.45	$369.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $183.12 / $236.15 / $292.70	Professional		$183.12	$236.15	$292.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $133.97 / $220.18 / $363.12	Facility		$133.97	$220.18	$363.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $219.00 / $291.07 / $398.00	Professional		$219.00	$291.07	$398.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $109.57 / $157.78 / $819.00	Facility		$109.57	$157.78	$819.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $193.04 / $278.68 / $819.00	Professional		$193.04	$278.68	$819.00
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,045.00 / $2,364.00	Facility		$296.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $161.03 / $277.06 / $411.36	Professional		$161.03	$277.06	$411.36